1. Home
  2. Directory
  3. Texas
  4. Shenandoah
  5. Internal Medicine
  6. NPI Profile

ABRAHAM WINKELSTEIN
NPI 1548260920
Internal Medicine - Gastroenterology in Shenandoah, TX

Active since July 27, 2005PECOS EnrolledAccepts Medicare Assignment
75.9/100
CMS Quality Rating
111 VISION PARK BLVD, STE 150, SHENANDOAH, TX 77384(936) 321-0033(936) 321-0032 Get Directions Write a Review

NPPES record last updated: May 20, 2008. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Abraham Winkelstein NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

ABRAHAM WINKELSTEIN (NPI 1548260920) is an individual gastroenterology provider in Shenandoah, Texas, licensed in Texas (K4297) and active in the NPI registry since July 2005. He is enrolled in Medicare PECOS, is affiliated with Memorial Hermann Hospital System, and is a graduate of Georgetown University School Of Medicine (1991).

NPPES Registry Identity

NPI1548260920
Entity TypeIndividualMale
Primary Taxonomy207RG0100X
Provider Legal NameABRAHAM WINKELSTEIN
Location Address111 VISION PARK BLVD, STE 150Shenandoah, TX 77384-3002
Mailing AddressPo Box 130894The Woodlands, TX 77393-0894 · (936) 321-0033 · Fax (936) 321-0032
Phone(936) 321-0033
Fax(936) 321-0032
Sole ProprietorNo
Medical School CMSGeorgetown University School Of MedicineGraduated 1991
Enumeration DateJuly 27, 2005
Last NPPES UpdateMay 20, 2008
✔ NPI 1548260920 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyInternal Medicine · GastroenterologyAllopathic & Osteopathic Physicians
Taxonomy Code207RG0100X
License✔ Licensed in TX · K4297
Definition
An internist who specializes in diagnosis and treatment of diseases of the digestive organs including the stomach, bowels, liver and gallbladder. This specialist treats conditions such as abdominal pain, ulcers, diarrhea, cancer and jaundice and performs complex diagnostic and therapeutic procedures using endoscopes to visualize internal organs.
111 VISION PARK BLVD, Shenandoah, TX 77384
Open in Google Maps ↗

Other Identifiers 11

Other4345771TX · Aetna
Other236287TX · Americaid
Medicare PIN8735B1TX
Medicaid158070602TX
Medicare PIN8786J0TX
Other9108664TX · Cigna
Other2242212TX · Aetna
Medicare PIN100012410TX
Other84441YTX · Blue Cross
Medicare UPINF69766TX
Medicaid158070601TX

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Community Health Choice.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Abraham Winkelstein is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID3274537758
PECOS Enrollment IDI20100825000409
Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency✔ Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Areas of Expertise CMS Part B claims 9

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more 99214
This is a routine check-up for patients who have previously visited our clinic. It involves a comprehensive review of your health and any ongoing treatments. The consultation lasts between 30-39 minutes, allowing enough time to discuss any concerns.
376 services273 patients
Biopsy of large bowel using a flexible endoscope 45380
A biopsy of the large bowel using a flexible endoscope is a procedure where a thin, flexible tube with a camera is inserted through the rectum to examine the bowel. If abnormal tissue is found, a small sample is taken for further examination. This helps in diagnosing conditions like inflammation, polyps, or cancer.
140 services140 patients
Removal of polyps or growths of large bowel using an endoscope with mechanical snare 45385
This procedure involves using a thin, flexible tube called an endoscope to examine the large bowel. If any abnormal growths or polyps are found, a tool called a mechanical snare is used to remove them. This is a common method to prevent potential health issues.
136 services136 patients
Biopsy of esophagus, stomach, and/or upper small bowel using a flexible endoscope 43239
This procedure involves using a thin, flexible tube with a light and camera, known as an endoscope, to examine the esophagus, stomach, and upper part of the small intestine. Small tissue samples are taken for further examination to help diagnose various conditions.
107 services104 patients
New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more 99204
This is a first-time office or outpatient visit lasting between 45-59 minutes. The healthcare provider evaluates your health, discusses your medical history, and may suggest further tests or treatments. It's an opportunity to ask questions and understand your health better.
102 services102 patients
New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more 99203
This service involves an initial office or outpatient visit for a new patient. The healthcare professional will spend 30-44 minutes understanding your health history, current issues, and discussing possible treatment plans. It's a comprehensive evaluation to start your healthcare journey.
92 services92 patients

Hospital Affiliations CMS Care Compare 5

Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.

Memorial Hermann Hospital System

Acute Care Hospitals · Houston, TX
3/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number450184
Location1635 North Loop WestHouston, TX 77008 · Harris County
Emergency services Birthing friendly

Memorial Hermann Northeast Hospital

Acute Care Hospitals · Humble, TX
2/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number450684
Location18951 Memorial NorthHumble, TX 77338 · Harris County
Emergency services Birthing friendly

Houston Methodist Willowbrook Hospital

Acute Care Hospitals · Houston, TX
5/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number450844
Location18220 State Highway 249Houston, TX 77070 · Harris County
Emergency services Birthing friendly

St Luke's The Woodlands Hospital

Acute Care Hospitals · The Woodlands, TX
4/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number450862
Location17200 St Luke's WayThe Woodlands, TX 77384 · Montgomery County
Emergency services Birthing friendly

Houston Methodist The Woodlands Hospital

Acute Care Hospitals · The Woodlands, TX
5/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number670122
Location17201 Interstate 45 SouthThe Woodlands, TX 77385 · Montgomery County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 77384 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$126.40 typical visit price
range $54.84 – $166.88
Typical copayment $31.60 (range $13.71 – $41.72)
Most-billed visit code 99204
Established Patient
$97.05 typical visit price
range $17.52 – $136.11
Typical copayment $24.26 (range $4.38 – $34.02)
Most-billed visit code 99214
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Medicare Quality Performance CMS QPP · MIPS

Performance in the CMS Quality Payment Program: the MIPS final score across four weighted categories, and the individual quality measures reported to Medicare.

75.9/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Individually scored
Quality50
Improvement Activities40
Cost86.35

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

WOODLANDS ENDOSCOPY CENTR, LTD.
Clinic/Center (Endoscopy)
111 VISION PARK BLVD, SUITE 160
SHENANDOAH, TX 77384
Montgomery County (936) 321-8910
PARTNERS THERAPY AND REHABILITATION,PLLC
Clinic/Center (Physical Therapy)
111 VISION PARK BLVD, SUITE 250
SHENANDOAH, TX 77384
Montgomery County (281) 363-2829
ANNA M GONZALES M.D.
Internal Medicine (Gastroenterology)
111 VISION PARK BLVD, STE 150
SHENANDOAH, TX 77384
Montgomery County (936) 321-0033
PROF. MELISSA R MIGNOGNA PH.D.
Psychologist
111 VISION PARK BLVD, SUITE 250
SHENANDOAH, TX 77384
Montgomery County (281) 528-4226
TIMOTHY MICHEAL YORK LSA
Physician Assistant (Surgical)
111 VISION PARK BLVD, SUITE 240
SHENANDOAH, TX 77384
Montgomery County (832) 264-1953
EDWARD S XAVIER MD
Internal Medicine (Gastroenterology)
111 VISION PARK BLVD, SUITE 150
SHENANDOAH, TX 77384
Montgomery County (936) 321-0033
JAMIE RESPONDEK DOAN FNP-C
Nurse Practitioner (Family)
111 VISION PARK BLVD, SUITE 150
SHENANDOAH, TX 77384
Montgomery County (936) 321-0033
MIRZA N BAIG M.D., PH.D.
Neurological Surgery
111 VISION PARK BLVD, SUITE 220
SHENANDOAH, TX 77384
Montgomery County (855) 457-7463

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Abraham Winkelstein's NPI number?

The NPI number for Abraham Winkelstein is 1548260920. It was assigned to this individual provider in the NPPES registry on July 27, 2005.

Where is Abraham Winkelstein located?

Abraham Winkelstein practices at 111 Vision Park Blvd Ste 150, Shenandoah, TX 77384. The listed phone number is (936) 321-0033.

What is Abraham Winkelstein's specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Gastroenterology, with taxonomy code 207RG0100X.

Is Abraham Winkelstein enrolled in Medicare?

Yes. Abraham Winkelstein is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

What insurance does Abraham Winkelstein accept?

Health plans from Community Health Choice list Abraham Winkelstein as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

Is Abraham Winkelstein affiliated with any hospitals?

According to CMS data, Abraham Winkelstein is affiliated with Memorial Hermann Hospital System, Memorial Hermann Northeast Hospital, Houston Methodist Willowbrook Hospital, St Luke's The Woodlands Hospital and Houston Methodist The Woodlands Hospital.

When was this NPI record last updated?

The NPPES record for Abraham Winkelstein was last updated on May 20, 2008. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 18 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.